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TAENIA SAGINATA
ADULT WORM:
Scolex (Head):
• It is 1-2 mm in diameter.
• It is quadrate.
• It has 4 circular suckers.
• Head is not provided with any rostellum/hooklets.
• It moves against the peristaltic movement of the gut.
Neck:
• It is long.
• Narrow. (.5 mm width)
Proglottides (Segments):
• The gravid proglottides are expelled singly within the GIT and
they go through the anal sphincter forcefully.
• The free gravid proglottide, while crawls out of the anal orifice,
oviposits in the perianal skin.
EGGS:
• Shape: Spherical
• Colour: Brown (bile stained)
• Wall: Two walls:
1>outer thinner transparent shell, and,
2> inner thicker brown embryophore.
• Each egg contains an oncospore, with 3 pairs of hooklets.
• Eggs do not float in the saturated solution of NaCl.
• Eggs are infective only to cattle.
TAENIA SOLIUM
ADULT WORM:
Scolex:
1. 1 mm in diameter.
2. Globular in shape.
3. Has 4 circular suckers.
4. Head is provided with a rostellum, with a double row of large and
small teeths. (Diff. With taenia saginata)
Neck:
Proglottides:
EGGS:
The eggs having the same features with T.saginata, just differs at their
infectivity. Whereas, T.saginata eggs are infective only to cattle, T.solium
eggs are infective cattle as well as man.
INFECTION IN HUMAN:
• In humans, cysticerci transform into adult tapeworms by attaching
to the gut wall by means of its suckers.
• Then the adult tapeworms persist in the small intestines for years
causing cysticercosis.
• The time between initial infection and the development of the adult
worm occurs over a period of approximately 2 months.
CYSTICERCOSIS
• SYMPTOMS:
a. Pain in the eyes
b. Blurriness
c. Partial or complete loss of vision.
d. In extreme cases, infection may cause complete detachment of the
retina.
Neurocysticercosis:
• SPECIES DIAGNOSIS:
• As the eggs of T.saginata and T.solium can’t be differentiated, when
the head and proglottide segments are found, they may be used for
species diagnosis.
• Diagnosis may be made by molecular methods such as DNA probe
and PCR. It should be remembered that only these methods can
differentiate between T.saginata and T.solium eggs.
DIAGNOSIS OF CYCTERICERCOSIS
• MRI and CAT scans are considered to be the most sensitive
methods of detection of neurocysticercosis and are useful in
establishing diagnosis.
TREATMENT
1. Praziquantel and
2. Albendazole
-are the two anticysticercal drugs used to treat patients
diagnosed with cysticercosis in the brain and skeletal muscles.